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Individual

MATTHEW BRANCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
3349 NE TILLAMOOK ST, PORTLAND, OR 97212-5154
(503) 442-5452
Mailing address
3349 NE TILLAMOOK ST, PORTLAND, OR 97212-5154
(503) 442-5452

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R8656
OR

Other

Enumeration date
02/01/2024
Last updated
02/01/2024
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